Causes of nonvisualization of the gallbladder on a hepatobiliary scan

What are the causes of nonvisualization of the gallbladder on a hepatobiliary scan?

The most common cause is acute cholecystitis. Many other potential causes, including various diseases and congenital problems, must be considered, however, in the differential diagnosis.

Some Causes of False-Positive Results for Diagnosis of Acute Cholecystitis on Hepatobiliary Scintigraphy

  • • Chronic cholecystitis
  • • Complete common bile duct obstruction
  • • Prolonged fasting
  • • Severe hepatocellular disease
  • • Acute pancreatitis
  • • Prior cholecystectomy
  • • Gallbladder agenesis

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